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目的分析2013年石家庄市居民高血压的患病、控制情况及2008-2013年的变化趋势,评价高血压防控措施的实施效果,为制定下一步控制策略提供科学依据。方法对15岁及以上常住居民进行多阶段分层随机抽样,采用集中调查和入户调查相结合的方法,对2013年石家庄市居民高血压相关指标进行统计学分析并与2008年统计数据相比较,对其变化趋势进行分析。结果 2013年15岁及以上居民高血压标化患病率为29.1%,知晓率62.6%,治疗率80.7%,高血压控制率为41.0%。2008年和2013年比较,石家庄市15~69岁居民高血压标化患病率明显下降,差异有统计学意义(28.7%,25.4%;χ2=4.322,P=0.036);高血压知晓率明显升高(33.6%,62.4%;χ2=15.014,P<0.001);高血压控制率明显升高(33.6%,43.1%;χ2=102.725,P<0.001)。结论石家庄市2013年的高血压患病率仍较高,70岁以上患病率高达70.3%。随着居民知晓率和控制率的增高,15~69岁居民的高血压患病率明显下降。
Objective To analyze the prevalence and control of hypertension in residents in Shijiazhuang in 2013 and the trend of change in 2008-2013, evaluate the effect of prevention and control measures of hypertension, and provide a scientific basis for further control strategy. Methods The stratified random sampling of residents aged 15 years and above was conducted in a multi-stage and stratified random sampling method. Based on the combination of central investigation and household survey, the related indexes of hypertension in residents in Shijiazhuang in 2013 were statistically analyzed and compared with the statistics of 2008 , Analyze its changing trend. Results The prevalence of hypertension in residents aged 15 years and over in 2013 was 29.1%, awareness rate was 62.6%, treatment rate was 80.7%, and hypertension control rate was 41.0%. Compared with 2013 and 2013, the prevalence of hypertension in Shijiazhuang residents aged 15-69 years was significantly lower (28.7%, 25.4%; χ2 = 4.322, P = 0.036); the awareness rate of hypertension was significantly higher (33.6%, 62.4%; χ2 = 15.014, P <0.001). The rate of hypertension control increased significantly (33.6%, 43.1%; χ2 = 102.725, P <0.001). Conclusion The prevalence of hypertension in Shijiazhuang is still high in 2013, with a prevalence of 70.3% over the age of 70. With the increase of residents’ awareness and control rate, the prevalence of hypertension in 15 ~ 69-year-old residents decreased significantly.